Doctor Name: | MR. BRIAN KITTELSON |
NPI Number: | 1356484059 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 722 |
Business Practice Address: | 8701 W. 32nd St. Room 108 Sioux Falls, SD - 57106 |
Business Phone Number: | 6053236990 |
Business Fax Number: | 6053236991 |
Mailing Address: | 4800 S Plateau Trl, SIOUX FALLS |
State: | SD |
Postal Code: | 571061936 |
Phone Number: | 6053620779 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 10/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 722 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |